Displaying 153131-153140 of 1611142 results.
ID:
153131
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
582984
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153132
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2122661
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
365
ID:
153133
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2122659
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
365
ID:
153134
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2122657
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
365
ID:
153135
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2122655
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
365
ID:
153136
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2122650
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
365
ID:
153137
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2122648
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
365
ID:
153138
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2122642
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
365
ID:
153139
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2477272
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153140
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809520
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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